结肠息肉内镜下治疗术前评分分级意义的探讨

The significance of score and rating of colon polyps before endoscopic treatment

目的:探讨结肠息肉术前评分对结肠息肉内镜下治疗后并发症的影响。方法:根据息肉数目、大小、形态、病理等对213例结肠息肉患者内镜下术前予以评分分级,对不同级别采取不同术式治疗,分析其对术后并发症的影响。结果:213例结肠息肉评分分级中A级56例(26.2%),B级121例(56.8%),C级36例(16.9%),术后仅1例于第1天少量出血,予局部喷洒1∶10 000肾上腺素溶液,继续禁食48 h,未见再出血。余术后无严重并发症发生。结论:结肠息肉内镜下治疗术前予以充分评分分级,选择不同的治疗方法可以减少术后并发症的发生。

Objective：To preliminarily analyze of the effect of preoperative score and rating on postoperative complications of colon polyps. Methods：According to the number of polyps,size,shape,pathological,total of 213 cases of colon polyps were scored and rated before endoscopic treatment of colon polyps, analyzed the impact of postoperative complications. Results：According to preoperative scores and ratings,choosing different endoscopic treatment,no case of serious postoperative complicationg was occurred in 213 patients with colon polyps. Conclusions：According to preoperative scores and ratings, choosing different endoscopic treatment can reduce postoperative complications of colon polyp.